Gloucester County
Secure Utilities Payment Form
Payment Summary
Payment Amount
Account Number
Contact Information
This information is used in the case that a payment cannot be matched to a valid account and to email a receipt.
First Name & Last Name
Phone Number
Email Address
Checking Information
Pay By Credit Card
Name as on Check
Bank Routing Number
Bank Account Number
Drivers License Number
Drivers License State
I authorize Gloucester County to initiate a single ACH/electronic debit to my account in the amount entered above from the bank account entered above. I agree that ACH transactions I authorize comply with all applicable laws.
IMPORTANT: Your payment will not be posted to your Utilities account until it has settled with your bank, which may take as long as 5-7 business days. IF YOU ARE PAYING TO AVOID DISCONNECTION OF YOUR UTILITIES SERVICE, PLEASE CANCEL THIS PAYMENT AND MAKE YOUR PAYMENT USING YOUR CREDIT/DEBIT CARD (2.5% FEE APPLIES).
In the event your E-Check payment is returned by your bank, a reversal for the payment will be initiated and you will be notified by one of the contact options you provided. To process this payment, click “Submit”. To cancel this payment, close your browser window without clicking on “Submit”.
